[Resolved]  Aditya Birla Memorial Hospital — Claim amount 79553/- and approval amount 78803/- why taken 9452/-

Address:Pune, Maharashtra
Website:www.adityabirlahospital.com

Search results:
Claim id:
92419468
Claim details:

Claim id: 92419468
Claim amount: rs.79, 553/-
Approved amount: rs.78, 803/-
Admission date: 09-jun-2016
Claim received date: 12-jul-2016
Claim denied date: -
Claim type: cashless
Pre-authorized amount: rs.78, 803/-
Claim status: claim approved
Discharge date: 13-jun-2016
Claim approved date: 12-jul-2016
Hospital name: aditya birla health services ltd
Denial reasons

None

Missing documents

None

Deduction details

Non payable amount: rs.750/-

Reason: nme + rr excess

Attachment for tail mail

From: "sandesh r"
Sent: thu, 14 jul 2016 13:26:11
To:
Subject: re: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]
Dear prahsanth,

We have processed your claim documents as per your policy condition, please check with hospital for extra payment collection.

Thanks and regards
_
Sandesh r

Medi assist india tpa pvt ltd.

4th floor ibc, knowledge park, tower d,
No 4/1, bannerghatta road,
Near dairy circle –bangalore 29

Toll free number :[protected] /[protected]
Track your claims : http://track. medibuddy.in
Download e card : http://ecard. medibuddy.in
Track through sms : claims and claimno sms to [protected]


From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com]
Sent: thursday, july 14, 2016 1:08 pm
To: sandesh r
Subject: re: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]

Dear sandesh,

Category break up
Charge type
Bill amount
Payable amount
Non pay amount
Non payable reason
Hospital charges
0
0
0

Investigation & lab charges
0
0
0

Non taxable pharmacy & medicine charges
0
0
0

Miscellaneous charges
79553
78803
750
Nme + rr excess
Consultant charges
0
0
0

Package
0
0
0

Total
79553
78803
750


Ee its amount approve is 78803/-

Then why show me


Surgery charges
12202
2000
10202
Claiming for nmes & already settled amount in cashless rs.10202 (nme-oxygen mask rs.150; handrub rs.165; microshild rs.105; sponge rs.375; administrative surcharge rs.5934/-)
Claiming for nmes & already settled amount in cashless rs.10202/-
Its my cash witch is that day pay then why show me this i will paid 92419468 claim
And also ones tailing you i will call that time mediassit they said sir, you paid and send reimbursement process

Then know you show me this all!!!

I am proper mentioned my family states

Please diposit my 9452/- as per your break up[protected]=9452)

Regards,
Prashant


From: "sandesh r"
Sent: thu, 14 jul 2016 12:25:33
To:, "'corporateresponse '", "'info '"
Subject: re: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]
Dear prashanth,

Your cashless claim is processed and approved for rs.78803/-, same will be transferred to hospital bank account shortly, check with hospital.

Claim no.
Policy number
Policy holder
Emp code
Emp name
Relation
Maid
Beneficiary
Clm type
Clm amt
App amt
Claim status
92419468
670100/34/15/04/00000002
Titan company limited
1067021
Prashant prakash kumbhar
Self
[protected]
Prashant prakash kumbhar
Cashless
79553
78803
App

Category break up
Charge type
Bill amount
Payable amount
Non pay amount
Non payable reason
Hospital charges
0
0
0

Investigation & lab charges
0
0
0

Non taxable pharmacy & medicine charges
0
0
0

Miscellaneous charges
79553
78803
750
Nme + rr excess
Consultant charges
0
0
0

Package
0
0
0

Total
79553
78803
750


Reimbursement claim is processed and settled for rs.5554/-, same has been transferred to titan account on 7th july 16.

Claim no.
Policy number
Policy holder
Emp code
Emp name
Relation
Maid
Beneficiary
Clm type
Clm amt
App amt
Claim status
92495045
670100/34/15/04/00000002
Titan company limited
1067021
Prashant prakash kumbhar
Self
[protected]
Prashant prakash kumbhar
Reimbursement
15830
5554
Set

Bill break up:
Category break up
Charge type
Bill amount
Payable amount
Non pay amount
Non payable reason
Investigation & lab charges
2400
2400
0

Surgery charges
12202
2000
10202
Claiming for nmes & already settled amount in cashless rs.10202 (nme-oxygen mask rs.150; handrub rs.165; microshild rs.105; sponge rs.375; administrative surcharge rs.5934/-)
Consultant charges
550
550
0

Pharmacy & medicine charges (taxable)
678
604
74
Mouth wash rs.74/-
Total
15830
5554
10276


Thanks and regards
_
Sandesh r

Medi assist india tpa pvt ltd.

4th floor ibc, knowledge park, tower d,
No 4/1, bannerghatta road,
Near dairy circle –bangalore 29

Toll free number :[protected] /[protected]
Track your claims : http://track. medibuddy.in
Download e card : http://ecard. medibuddy.in
Track through sms : claims and claimno sms to [protected]


From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com]
Sent: thursday, july 14, 2016 12:11 pm
To: corporateresponse ; sandesh r ; info
Subject: fw: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]

Dear team,

What is my 10202/- amount claim states

Regards,

Prashant


From: "sandesh r"
Sent: mon, 11 jul 2016 18:04:10
To:
Subject: re: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]
Dear prashanth,

Please share your contact number.

Thanks and regards
_
Sandesh r

Medi assist india tpa pvt ltd.

4th floor ibc, knowledge park, tower d,
No 4/1, bannerghatta road,
Near dairy circle –bangalore 29

Toll free number :[protected] /[protected]
Track your claims : http://track. medibuddy.in
Download e card : http://ecard. medibuddy.in
Track through sms : claims and claimno sms to [protected]


From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com]
Sent: monday, july 11, 2016 5:59 pm
To: sandeshr
Subject: fw: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]

Dear sandesh,

What is my states my 92419468

Regards,
Prashant


From: "sandesh r"
Sent: sat, 09 jul 2016 18:04:15
To:
Cc:
Subject: re: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]
Dear prashanth,

Your cashless claim is under process, we yet to receive original documents from hospital.

Reimbursement claim is processed and approved for rs.5554/-, same amount will credit to titan company account shortly.

Thanks and regards
_
Sandesh r

Medi assist india tpa pvt ltd.

4th floor ibc, knowledge park, tower d,
No 4/1, bannerghatta road,
Near dairy circle –bangalore 29

Toll free number :[protected] /[protected]
Track your claims : http://track. medibuddy.in
Download e card : http://ecard. medibuddy.in
Track through sms : claims and claimno sms to [protected]


From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com]
Sent: saturday, july 09, 2016 5:46 pm
To: [protected]@mediassistindia.com; [protected]@mediassistindia.com
Subject: fw: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]

Dear team,

As trial mail please revert me, still i have waiting, when you will provide me my total claim amount...

Regards,
Prashant


From: "prashant kumbhar"
Sent: sat, 09 jul 2016 14:42:12
To: "[protected]@mediassistindia.com", "[protected]@mediassistindia.com"
Subject: fw: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]
Dear team,

You proper maintained (your cashless claim is processed and approved for 78803rs... nme expenses 750 rs... then what is the issue?..)

O i am paying 10202/- on 13-jun-2016 on dated total amount is-79553/- your approval amount is-78803/-

That time you maintained proper, also that time i call customer care when i am paying 10202/- your employee tailing me sir not and issue you pay and submit reimbursement it then why show me all!!!


If you that time tiling me you pay only 750/-

Not any issue!!


"so you sate my place and think"

I dont know i want refund my 15080/- as per your billing system and my billing amount

Thanks and regards,

Prashant


From: "[protected]@mediassist"
Sent: sat, 09 jul 2016 13:24:27
To: [protected]@rediffmail.com
Cc: sandeshr
Subject: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]
Dear sir,

Kindly find the below details of your claim no: 92495045

Claim results (prashant prakash kumbhar - employee code 1067021)
Claim #
Related preauth
Benef name /gender/ relation
Received on
Type / status
Claimed amt
Appr. amt
92495045
Prashant prakash kumbhar / m / self
[protected]
×latest pa status "style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;"data-mce-href="http://proclaim. mediassistindia.com/"data-mce-style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;"reimbursement / approved
Rs.15830/-
Rs.5554/-

Bill details:

Bill no.

Bill date

Bill type

Bill description

Amount

Non-payable amount

Non-payable reason

Payable amount

0

Jun 13 2016 12:00 am

Consultant charges

Consultation

Rs.550/-

Rs.0/-

Rs.550/-

0

Jun 13 2016 12:00 am

Surgery charges

Other surgical item charges

Rs.12, 202/-

Rs.10, 202/-

Claiming for nmes & already settled amount in cashless rs.10202 (nme-oxygen mask rs.150; handrub rs.165; microshild rs.105; sponge rs.375; administrative surcharge rs.5934/-)

Rs.2, 000/-

0

Jun 13 2016 12:00 am

Investigation & lab charges

Lab

Rs.2, 400/-

Rs.0/-

Rs.2, 400/-

0

Jun 13 2016 12:00 am

Pharmacy & medicine charges (taxable)

Medicines_drugs

Rs.678/-

Rs.74/-

Mouth wash rs.74/-

Rs.604/-


With regards,
Prabakar. c
Team medi assist


From:"kumbharpra111"
To:"titan"
Sent: saturday, july 9, 2016 12:36:28 pm
Subject: fw: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]

Dear team,
Then why taken 10202/-

Also why stop my rest amount 15830/-

As per your claim no 92495045

On dated 24-jun-2016, today is 9-july -2016

As per your policy working 7 day process, then you count 24-jun to till date and please red my all mails witch is


Ending to you then reply

Regards,

Prashant kumbhar


From:"[protected]@mediassist"
Sent: sat, 09 jul 2016 11:02:01
To: [protected]@rediffmail.com
Cc: sandeshr
Subject: fwd: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]
Dear sir,

Claim results (prashant prakash kumbhar - employee code 1067021)
Claim #
Related preauth
Benef name /gender/ relation
Received on
Type / status
Claimed amt
Appr. amt
92419468
92430671, 92419467
Prashant prakash kumbhar / m / self
[protected]
×latest pa status" style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;" data-mce-href="http://proclaim. mediassistindia.com/" data-mce-style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;"cashless / in process (processed document awaited)
Rs.79553/-
Rs.78803/-

Your cashless claim is processed and approved for 78803rs... nme expenses 750 rs... then what is the issue?..
With regards,

Team medi assist


From: "corporateresponse"
To: "titan"
Cc: [protected]@rediffmail.com
Sent: saturday, july 9, 2016 10:49:01 am
Subject: fw: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]

Dear team


Please go through the below trial mail & do the needful.


Thanks & regards
Medi assist team

From: prashant kumbhar
Sent: friday, july 08, 2016 1:36 pm
To: corporateresponse ; info
Subject: fw: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]

Dear team,

Why are you lat process my statement are you working or not

End me reply asap,

Regards,.
Prashant


From: "prashant kumbhar"
Sent: wed, 06 jul 2016 22:41:28
To: "corporateresponse", "info"
Subject: fw: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]
Dear team,

Inform to you your end amount approval is - 78803/- cash less no[protected]

Then know you why showing 10202/- in staled, my hospital bill is-79553/- your end approval amount is-78803/-

When i paid 10202/- that time i call your customer care that time your end tailing me sir you paid and


Reimbursement clime that time you received you know you show my clime statement 5554/-, are you proper


Training your employee or customer proper send sms mail i am frosted your end and i relay observed your


Company is bool set you are not handled your company, not reply to at the time your commitment see my all


Mails and reply

Proper as you work in one corporate specials customer sport

Pls do the needful

Regards,
Prashant


From: "corporate response"
Sent: sat, 02 jul 2016 12:33:33
To:
Cc: "info medi assist"
Subject: re: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]
Dear sir/madam


The claim[protected] is under process.


Thanks & regards
Medi assist team


From: info
Sent: thursday, june 30, 2016 3:56 pm
To: [protected]@mediassistindia.com');" [protected]@mediassistindia.com
Subject: fwd: fw: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected][protected]

Dear team,

Kindly find the below trail mail and do the needful.

Regards,
Medi assist support team


On wed, 29 jun at 3:19 pm, prashant kumbhar wrote:
Dear team,
You provide me new clame number why and where is your commitment 24 hours reply,
Also tickt numer, l am sending you all my documents then why delay your commitment date is 26 june, also hospital provided all details then why should tack time your end
I already manstined my family states


So pls

Diposit my cash in my account asap

Regards
Prashant p kumbhar


Note: forwarded message attached

— original message —

From: info [protected]@mediassistindia.com on fri, 24 jun 2016 20:23:49 +0530
To: [protected]@rediffmail.com
Subject: ticket received - claim no[protected] document sending by blue dart qurer - doc no-[protected] - 388819
Was this information helpful?
No (0)
Yes (1)
Jul 15, 2016
Complaint marked as Resolved 
not any reply at the time by aditya birla hospital end my cell number is 9545402607 all document in hospital one month 2 day but not yet shallow my problem that time cashier tailing me sir you pay 10202/- that time i am not filling wall so that time i not asking any question when i filling good that time i checking my all documents hospital taken my 9452/- extra amount also description claim amount is-79553 approved amount is-78803/- that time hospital only taken 750/- amount but they will taken 9452/- extra amount why?
Aditya Birla Memorial Hospital customer support has been notified about the posted complaint.
Complaint comments 

Post your Comment

    I want to submit Complaint Positive Review Neutral Comment
    code
    By clicking Submit you agree to our Terms of Use
    Submit
    Aditya Birla Memorial Hospital
    customer care contact
    Customer satisfaction rating Customer satisfaction rating is a complex algorithm that helps our users determine how good a company is at responding and resolving complaints by granting from 1 to 5 stars for each complaint and then ultimately combining them all for an overall score.
    Read more
    33%
    Complaints
    43
    Pending
    5
    Resolved
    11
    Aditya Birla Memorial Hospital Phone
    +91 20 3071 7615
    Aditya Birla Memorial Hospital Address
    Aditya Birla Hospital Marg, Chinchwad, Pune, Maharashtra, India - 411033
    View all Aditya Birla Memorial Hospital contact information